Update

iVillage Member
Registered: 06-29-2010
Update
12
Wed, 11-03-2010 - 10:58pm
My ob is too laid back for me and seemed really relaxed after two losses. He said all my b/w was normal with a mildly under active thyroid. All he said was. Try again after your next AF. I asked about my tsh levels and he said we can retest in january, not good enough for me. I went to my primary care doc who agreed to check my tsh, t3 and t4 and I am going to the endocrinologist on Friday, so we will see what happenes. I told the ob I think I have LPD and he said he thinks that's a controversial topic, but I don't think spotting 4 days before af is good and i read this whole book on progesterone deficiency and I fit all the criteria. He just won't explore it at all. Oh well, I will see what the endo thinks! I'm taking that route now cause it's covered by my insurance and then if no progress, I will go to the RE.

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iVillage Member
Registered: 02-19-2007
In reply to: jen2318
Thu, 11-04-2010 - 7:32am

Sorry about Dr not being more helpful. I can certainly relate.

You can certainly shop around for a Dr that agrees with LPD & Progesterone deficiency. Im finding its harder to find those Drs around. I did seriously think about switching or interviewing a new RE for that very reason. I still might...

*mindy*
iVillage Member
Registered: 07-28-2009
In reply to: jen2318
Thu, 11-04-2010 - 8:52am

Jen, the LPD/Progesterone deficiency thing is a controversial topic to say the least.

Like Mindy said, more and more dr’s are of the opinion that LPD just plain doesn’t exist and that m/c causes low prog not the other way around. My first RE was of that opinion and refused Progesterone. My 2nd RE agreed but gave it to me to shut me up. They liken it to a woman losing a pg and having falling betas. They could put you on hCG to raise your levels but that isn’t going to save an already failing pg. All that will do is mask the problem and delay the inevitable. That is the same way they looks at supplementing with progesterone. If the pregnancy is abnormal, it is going to fail regardless of how much prog you’re on.

Personally, I go back and forth about what I think about the whole thing. I get their logic but then again I know of women who have said that their prog was low and when they were put on it, the pg went on perfectly. That could also be explained by saying “Well, we don’t know if it was the prog supps that helped you. If you’re pg was healthy, it might have been just fine without it and your levels may have risen on their own.”

I just don’t know where I stand on this OTHER than to say that it does not hurt to put a woman on progesterone during the 2WW so if it makes the mother feel better and calms her fears than why not do it?

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iVillage Member
Registered: 06-29-2010
In reply to: jen2318
Thu, 11-04-2010 - 2:00pm

The book is by Dr. Lee, I can look when I get home. I bought his progesterone cream and used it last cycle when I did get my BFP, who knows if the two were related. It was an interesting book. Got it on amazon really cheap. I will look later and tell you.

iVillage Member
Registered: 06-29-2010
In reply to: jen2318
Thu, 11-04-2010 - 2:06pm

yeah, my doc said, he knows many RE's use progesterone supplements, but he just does not think it works, i dunno. I do agree with what you said that if the pregnancy is not healthy it won't last anyway. Once I knew my betas didn't double, I stopped the cream. Oh wanna hear something funny.I told mt doc that my home tests are negative and he said "of course they are, they measure levels between 50-100" if that were the case i would have never gotten a BFP since my levels only got to 38. didn't he ever hear of early pregnancy tests, duh?

iVillage Member
Registered: 07-28-2009
In reply to: jen2318
Thu, 11-04-2010 - 2:14pm
Jen, over the years I have been SHOCKED at what the dr's seem not to know. Things I KNEW were true and they told me the exact opposite. It really is scary. My husband always tells me "Michelle, if you knew everything then you'd be able to get yourself pg and you wouldn't be going to them for help." Uhhhh no way buddy - that's not true. You give me a u/s machine, a blood lab, some drugs, a sperm washer and an IUI catheder, I don't need them for a darn thing! I swear! I could do this myself if I had all the stuff!
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iVillage Member
Registered: 08-16-2007
In reply to: jen2318
Thu, 11-04-2010 - 10:10pm

Sorry your doctor isnt willing to do anything for you right now. I know that can be so incresdibly frustrating!

l am glad that you are being proactive about your healthcare, and that you can search around for a new doctor or specialist who will take your concerns more seriously. Before I got my thyroid diagnosis, my primary care doc was very hesistant to put me on meds, and so was the ob/midwife practice - but when I explained my whole history to an RE, he glad gave me the prescription. So the moral of my story is... keep being persistent. If something is bothering you, or if you think youve found your diagnosis, keep telling people until someone listens :)

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iVillage Member
Registered: 06-29-2010
In reply to: jen2318
Thu, 11-04-2010 - 10:16pm
Thanks ladies!!! I will see what the endo says tomorrow, but I'm not giving Up without a fight.
iVillage Member
Registered: 03-22-2007
In reply to: jen2318
Fri, 11-05-2010 - 1:23pm
Jen, I'm glad you're going to see an endo. To be honest, I'm betting your spotting is related to your thyroid and not so much LPD.

**Child and BFP mentioned**


When I was ttc my second I was convinced I had LPD as well. We tried for a long time and I just wasn't getting pg and had some spotting mid cycle sometimes, and always spotted for several days before AF. I got my thyroid tested and it was mildly hypo as well. My dr. luckily had just taken an endo seminar about how the new 'norm' for tsh is 0.3 to 3.0 and she put me on a low dose of synthroid. I think my original tsh was around 4.0 (most of the docs in my docs practice would not have medicated me). Within 2 weeks of her starting the synthroid, I had stabilized completely. 2 cycles after starting the synthroid I got a BFP and it was sticky.

With my m/c, I had my tsh tested around 6weeks and it came back at 3.49. I found out at 9 weeks that the baby did not make it and really never developed past about 6 weeks or so. I honestly think my thyroid may have had something to do with it. This pg, it has not gotten above 2.8 and my dose has been watched and adjusted regularly.

Anyways, good luck. I just wanted to let you know that it really might be something as simple as your thyroid levels.

Steph sig may 2009

iVillage Member
Registered: 02-19-2007
In reply to: jen2318
Fri, 11-05-2010 - 9:06pm
Well I will say that I would not get pregnant if I did not have progesterone.
I mean I have a 9 day LP. My RE insisted it didnt matter. Its like LPD just vanished where it used to be a problem. I dont agree with her, but she does give me the meds. I also have only gotten pregnant (post DD) while using progesterone vaginally. I have been taking it now since 9/09. Yes during that time Ive switched doses & how I take it.

I believe in it so much that Im doubling my dose now since my last m/c.

My acupuncturist, who is studying to be a mw, told me that w. my last chemical implantation probably never happened. Huh lady? She even said you'd get a + test but implantation didnt happen yet. I just said ya & was thinking you're bonkers.

What did you Dr say? Im going to look up the book now.
*mindy*
iVillage Member
Registered: 06-29-2010
In reply to: jen2318
Sat, 11-06-2010 - 6:58pm
The book is called dr. John lees hormone balance made simple. Thanks to you ladies for advice and support. The endo started me on 25 mcg of levothyroxine. So I guess we will see what happens, I go back for more blood work in 6 weeks. I feel like I've had enough blood taken to give to someone who needs a transfusion.lol

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